Dear colleagues

if it is any help to anyone, rather a long time ago I
wrote my Ph D on how epidemiological research
on the effects of unemployment on healthinfluenced policy
(or not, as many of you would not be surprised to know)
debates in the UK during the 1980s. There is a book
on this called Authorities and Partisans (Edinburgh
University Press, 1992 but long out of print), also
a paper in Sociology of Health and Illness called
"Do we need a strong programme in the sociology of medicine?"
Sociology of Health and Illness 1990; 12: 371-390

and a paper called:
"'Probably, Minister'": the 'strong programme' approach to the
relationship between research and policy" in C. Samson & N. South
(eds.) The Social Construction of Social Policy (Macmillan for the
British Sociological Association, 1996)

and another related paper called:
"The story of R2: Interest, analogy and enrolment in a public health
policy debate"  in I Varcoe, S Yearley (eds.)Deciphering Science
and Technology (Macmillan, 1990)

Francophones might be interested to know that the
theoretical basis for all this work was taken largely
from the work of Michel Callon, Bruno Latour and their
colleagues in France, all of whose brilliant books are
available in French

Date sent:              Thu, 3 Feb 2005 14:04:40 -0500
Send reply to:          Social Determinants of Health
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From:                   "Bernier Nicole F."
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Subject:                [SDOH] RE : [SDOH] Interactive task - SDOH
Listserv Members
To:                     [log in to unmask]

> Here is a comment on the Whitehead model. Her implicit
assumption is a rational-actor model of policy-making: decision-
makers become aware of a new problem (get new data) and decide
to do something or not. It is established knowledge in Policy studies
that a policy-process is not linear, starting with the measurement of
a problem and finishing with a comprehensive policy (or not). A
policy-process is iterative. Policy-makers operate in a 'policy
environment', comprising several policy actors, administrative,
financial and political constraints. 'New' policy is, more often than
not, incremental: it builds on existing arrangements, administrative
traditions and state capacities. Policy-makers do not seek to find
the best possible solution to a problem (a comprehensive new
policy that addresses the problem) but a solution that will be good
enough and that will require minimal change to the existing set of
arrangements.
>         It is time we explore the implications, for political strategies
used in public health, of such a widely-shared, but totally wrong
assumption about the policy process.
>
> Nicole F. Bernier, PhD
> Politologue / Political Scientist
> Département de médecine sociale et préventive
> Université de Montréal
> C.P. 6128, Succ. CV
> Montréal (Québec)  H3C 3J7
> Téléphone (514) 343-6135
> Fax (514) 343-2207
> courriel: [log in to unmask]
>
>
>
> -----Message d'origine-----
> De : Social Determinants of Health [mailto:[log in to unmask]]
De la part de Dennis Raphael
> Envoyé : 3 février 2005 13:07
> À : [log in to unmask]
> Objet : [SDOH] Interactive task - SDOH Listserv Members
>
> I would like to ask members of the listserv to think about where
their a)
> nation; b) region/state/province; and c) local juridiction "is at" in
> explicitly addressing the social determinants of health.  I have
slightly
> modified Margaret Whitehead's "Action Spectrum on Inequalities
in Health"
> and added numbers to illustrate the different degrees of action. It
is
> below.
>
> I have also posted it at my website
http://www.atkinson.yorku.ca/draphael
> as a powerpoint slide if it does not read well below.
>
> When I think about where "Canada, Ontario, and Toronto" is at, I
think
> about how the media, public health agencies, and elected
representatives
> address -- or fail -- to address -- the SDOH.
>
> I have some ideas as to where Canada, Ontario, and Toronto are
at...
>
> So when you respond -- and please respond to me at
[log in to unmask]  --
> and NOT to the list --   state your jurisidction(s) and frame of
reference,
> and the # corresponding to level of action.  I will collate and send
on the
> results -- not identifying the contributors  -- to the list later.
>
>        Action on the Social Determinants of Health
>
>             1. Measurement
>                   |
>             2. Recognition
>                   |
>             3. Awareness Raising
>             /     |     \
>       4. Concern  |     5. Denial/Indifference
>                     /         |
> 6. Mental block   7. Will to take action
>                   |
>             8. Isolated Initiatives
>                   |
>             9. More structured developments
>                   |
>             10 Comprehensive coordinated policy
>
> -------------------
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> -------------------
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> To unsubscribe, send the following message in the text section --
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Prof Mel Bartley
Coordinator
ESRC Capability and Resilience Network
www.capabilityandresilience.org
Department of Epidemiology and Public Health
University College London
1-19 Torrington Place
London WC1E 6BT
0207 679 1707
07746 823099

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